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Private Dental Insurance my email which is al Jones at Blue Star family I am dot-org and I will forward your Private Dental Insurance questions on to Chris and his team so with that we will get started thanks for being here Chris great.

Well thank you so much Liz really the pleasure is all mine to be here so I'll just start off real quickly so I'm alone of my boss at the defense health agency asked to be here today to inform loose our family members of just. What's happening with TRICARE we want to make all this as simple as possible so we're going to try to swing through things and leave time for questions and make sure folks can let us know . What's on their minds but one thing it's important to stress is that we do this also because we understand the need to design our health plan with our patients in mind and seeking your input is how we can serve you better so without further ado . We'll go ahead and get started so so I'm Ramon always begins almost ev…

Renaissance dental veterans walking amongst us who are rated at percent permanently and totally okay renaissance dentalno likelihood of getting better some time to time you'll give that to him I want to be a hundred percent for. My diabetes now renaissance dental that you really don't because that means you're a bad shape you know so you know we try to make sure that veterans understand the whole goal of being disabled and going through treatments is to one day maybe get back to % or as close to it as. You can but there sometimes you just can't do that you know you have a veteran's veterans in our community that percent related for their hearing loss they have no hearing whatsoever okay well we have veterans. Who are permanently renaissance dental disabled because of loss of limbs those are things that get on those veterans when they will be able to truly rehabilitate from they can still be independent but their appendages are not going to grow back okay. What about in…

You Dental Care can still be considered for this particular program okay this form of disability can be considered permanent in total however usually if so.

The veterans disabilities themselves have increased in severity so the first thing that we're going to take a look at can we get the veterans service leader disabilities increase so that that veteran can be great . At versus having this hanging over their head okay so typically when a veteran is not able to secure gainful employment we want to take a look at the veterans disabilities first and then add on the iuf so they didn't have to look at the entire picture okay all involved at. The bottom very important if not for yourselves there's somebody in your life who believes their rating is permanent and total no rating is ever truly considered permanent in total until you have reached . A ten and twenty rule okay so what is that the ten and twenty rule in a nutshell if a disability has been rated for ten years or more the …

Through it pros very straight Ameritas Dentalforward fast response with an answer within days okay if it goes through you're seeing the day turnaround in days but normally about days downside more work is expected of the veteran in the service council. Because we now have to make sure Ameritas Dentalit's diagnosed we have to make sure that the medical evidence is a part of the file we have to do everything up front in a very specific order as.

It says here no wiggle room or the Ameritas Dental evidence required and very strict submission guidelines it's a step by step by step process it does work but we have to remember our responsibilities as your counselor. we have to slow the process down and just think about what we're getting done because once the horse out of the barn well it's already out there now okay this is just a phone chart on. what it looks like we as your counselors Ameritas Dental have to sit down with you and go over these different scenarios and then…

co-pays for inpatient Dental Insurance Maine long-term care in the hospital or the counselor okay and all these slides can be provided to you via email you know I just didn't want to print . them out there's a lot of information additional again Barney group for those veterans that are unsure what that is priority group is really the lowest level of enrollment you barely.

got in because of your income there Dental Insurance Maineare no service waivers they allow you to come in based on your income alone you got under it and you've been active ever since these are your co-payments for inpatient care okay medications pretty straightforward for years . the VA had a set dollar amount for any prescription anywhere between eight dollars and nine dollars for a -day prescription they said to change that I would say with summer last year that's expected actually that they now have tiered medications Tier one is preferred generics a lot of us use generics . now Publix doesn't …

That condition or Ameritas Dental disease and it really sucks okay pre-certification which is known as pre cert in the medical world or in the billing world a pre cert is when a patient needs to have something done.

Ameritas Dentalbut before you do it you call the insurance company to make sure that the insurance company would cover it at all so it's pre it's in advance pre-certification so let's say a patient is in your chair and needs a root canal.Before touching the patient before Ameritas Dental scheduling them for the root canal you're gonna call their insurance company and get a written verification that the insurance company will cover the root canal for the patient. That's what a pre cert is now a pre cert is different than a prior off or a pre-authorization a prior auth even though it still uses the word prior and pre a prior off is when an office proves to an insurance company. That they have to pay for something because it's medically necessary so um it…

I can do Cheap Dental Insurance that during open enrollment once that enrollment period ends you're stuck with whatever you have okay most patients won't ask you about Cheap Dental Insuranceopen enrollment the biggest questions.

That they're going to ask you about our deductible they're going to ask you those out-of-pocket expenses and EO bees which are coming okay so a CO pay a copay is another type of out-of-pocket expense so a copay is the money. That you pay at the time of the visit it's usually higher for specialists than it is for primary physicians and sometimes it's listed right on the insurance card itself with it might say ov and . A dollar amount in which case the price is the same for specialist and primary physicians it might say PP for primary practitioner and SP for specialist but the copay is the thing that you pay right then and there before it gets billed to the insurance so the way that things generally work is. That you go to the doctor for a …

You were between jobs you could use medical assistance and then the idea was you come off medical assistance and you go on to another plan of renaissance dental unfortunately medical assistance has kind of a stigma around it. Because it does get abused by some people but anyway medical assistance is also offered so those of us who are working our taxes are paying for medical assistance to be available there's also a new one called chip that one is for children.

So a lot of the times you might have a mom who maybe she herself doesn't have medical coverage but she wants to get it for her children but she can't afford it so she takes out chip and that covers the kids um. There are a lot of offices for renaissance dental that don't accept government assistance insurance mainly medical assistance most offices always accept Medicare but it's really medical assistance in unison and Medicaid. That are typically denied and the reason is because that there's a very poor com…

Dental Help Becoming way more popular because in this case the patient gets to choose from a big list Dental Help of doctors that participate with .

That PPO so each insurance company so let's take blue cross and blue shield for instance Blue Cross and Blue Shield is the type of the insurance they can offer an HMO pant plan and. A PPO plan and something called a POS plan which is point of service so one insurance company can offer several different types of these plans so we'll PPO is becoming way more popular because now the patient can choose so usually when you want to join a PPO plan you get a huge book but now they have them online as well where you can go see if your provider is in network and again it's the in network out of network thing so if your provider is in network fabulous but. A PPO runs on something called a fee schedule so what that means is if you go see a doctor with so let's say doctor Zsa Zsa is in my network for my PPO then that means my visit will …

system is about a third about a third of the cost is just all affair we have the most expensive health care system in the world and it still doesn't cover everyone when you when. you were going to that Dentemax Journey did change your mind in belief of the American healthcare says I mean do you think America is the best health care system in the world or do. you think it's a very expensive system that doesn't cover a lot when you were done doing that were you thinking we should go to a single-payer system like Germany or Australia or. New Zealand or Canada our Dentemaxor not well boy there's two sides to the coin there and when I see all of this bureaucratic paperwork I think you're probably right. I bet there's percent of it administrative I think another point is that I've been kind of stunned just looking at a lot of reports not that. I'm a student of any of this by any means but but that our health care is not really rated the best in the world and othe…

Dental HelpWasn't even entered in the computer to begin with or they were missed so many opportunities on insurance billing Dental Help.

Well think it's certainly several hundred you know dollars a day and that's one reason I highly recommend that the doctor take about. Thirty seconds in the morning and they need to learn how to do it just hit the button in the computer and get a Productivity report for yourself for that morning and then at the end of . The day this way you just take seconds to look I did two crowns this morning is that in the computer I did a core build-up today is that in the computer this morning and do that for the morning do. That for the afternoon and of course what's my goal today that type of thing some people monitor I advise at least a same-day dentistry revenue so in other words if your goal is five thousand for the day percent of . That should be same day dentistry in other words was not on the books today and we work that in today with our unb…

insurance company at our Ameritas Dental full fees and then whatever they pay above bucks I'll just give you that as a credit Alfie split with you and give you a credit on your on your ledger card well. I just gave you two ways to go to jail so those kinds of things we cannot do another thing I want to emphasize is the coating is the same whether you're in network or out so.

the coating is exactly the same I Ameritas Dental report what I do always and then it's the write-offs and so forth so those are the things that that come into play so I can't emphasize enough that they get . the processing policy manual for every PPO that they're a member of it and they particularly look at how to handle optional services that generally is addressed in the processing policy manual Charles what percent of dentist know basically nothing about coating and have never. Tips For Ameritas Dental even submitted an insurance claim and couldn't Ameritas Dental even get on their own com…

I agree that they don't make quite the headlines that probably the Medicaid you know has.

I want to talk about on where you going to your next subject I want to talk about you you I've seen you lecture several times on as far as a POP strategy or fee positioning or strategic planning do you see . I mean I'm going to say you know I'm so sick all this insurance I'm so sick all these videos I'm just going to drop at all do you do you think some people can do that because some people say that of Americans have no dental insurance so there's million Americans if you don't. Want to have lower prices higher overhead more volume practice I'm just going to drop all the insurance and focus on the of Americans. That don't have insur…

Advantage of Full Coverage Dental Insurance membrane four to six six a non Full Coverage Dental Insurance resolvable membrane four to six seven and those are in the perio area and then in the implant areas starting with sixty ten we have the implants and then over in. all surgery we've got the sinus Full Coverage Dental Insurance lifts the bone grafting and some of that so it does get pretty confusing I would say that the number one confusion in terms of submitting a implant crown is the. two systems the most common system as you know is the abutment supported crown that means where the abutment is placed first and it could be saved at custom abutment and then we put the crown is cemented or bonded on top and so that se is a ceramic crown notice. that the dr. the GP here is putting two different pieces in the mouth the abutment and then the separate crown the other kind of system is the one-piece UCL a crown and that is a one-piece screw retained crown that's code six oh six fi…

what this plan is telling you that they're going to pay a thousand dollars per calendar year toward your services so that was one complaint that I received from my clients regarding the dental plan because of the low out-of-pocket maximum is the every year you have to meet a deductible but my clients talked about whoa can. get full coverage dental insurance with no waiting period I get a plan where I pay deductible one time for the life of the plan and I'm done and then the other biggest complaint that I have with I've half compliance is that you know across . the board preventive is a hundred percent so a lot of clients like that but let's be honest here we have more consumers that need access to basic services and toward a major services …

Dental Insurance KY Professional is for you to get rid of this decay and we want to sell you on that versus you getting Dental Insurance KYsold on something else often times people think of cells as.

A dirty Dental Insurance KY sales- who gives him some of the day don't want but what about that time you were you went to the local grocery store today and you saw a great display of ores let's say and you grabbed one of . Those things of Orioles with that wasn't necessarily the best for your help but you wanted it you loved it because of the way they they sold you on the on the display or Whatever it is if there was buying your new parachute or with a kind of wrap up with our conversation here where's this worth of future going where are we going as far as insurance is . This going to continue with all these humans and delta dental and all these different insurances out there is going to move stream work towards the benefit in that dr. Dan was talking about is Obamacare go…

The insurance company is then paying the the dentist and then the patient themselves is having to intern pay the dentist more money for the portion that's not being covered by insurance so and you know and like said some of . That money that they're paying to the insurance company and then the insurance companies and paying the dentists being retained by that insurance company so hold on to it or use an HSA some other type of a program i think that they could i think that there's there's some things that you could do to hold on to some of that money I was hoping you'd get taken that direction because uh because of the number aspect and I know you could do that but . Myself I'm not one of those people that necess…

There's so many different ones out there just do your homework do your research ask them if they take them and then if they do be like okay great and then come in because you know cuz . What's going to happen is listening you can do you can do a little experiment you can call and be like oh I don't have such and such assurance um how much would something costs right see the price then call would be like oh. I'm with such-and-such insurance company how much is it now don't let them know you're the first person who cold though but she's just kind of your voice so anyway let me go back into the into the insult that how's it done so they have special negotiated rates so like let's say with them. with the company with the t…

it may be reused and redistributed for nonprofit use please attribute materials to the University of Michigan's School of Dentistry Dental insurance plans and redistribute under this same license for more information on.Other university of michigan school of dentistry recordings may be used visit Up next Autoplay been doing with choosing your dental insurance plans so what I'd like for you to do is to just look through the information of this video if you've been having trouble don't worry that's why I'm here to provide you with even more information so.

That you can make an informed decision in this video I'm going to truncate theinformation I'm going to pull out my board I have my very last sheet on my boardand I'm going to dedicate that to talking about this issue so share the video um to any anybody you know who may have dental issues.Even if you don't know if they have dental issues just share the information you never know where the informa…

Our mission statement is pretty simple. We specialize in collaborating with many dental insurance companies and plan providers to organize a selection of plans that are unbiased and aligned to fit our customer's needs. The dental insurance marketplace is filled with too many options and terminologies for the average consumer to learn. It's our job to take out the guess work and enroll members in the most up-to-date coverages available at the most affordable prices for the type of coverage needed.